| NPI | 1508165556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0800321) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH 0800321) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2020-02-27 |